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Case report


Pneumocephalus as a Rare Presentation of Acute Sinusitis with Intracranial Extension – Two Cases and a Review of Literature

Xingwen SunGloria C. Chiang
Department of Radiology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, United States.
Date of Submission: 20-Feb-2019, Date of Acceptance: 20-Mar-2019, Date of Web Publication: 15-Jun-2019.
Corresponding Author:
Corresponding Author

Gloria C. Chiang

E-mail: gcc9004@med.cornell.edu

Corresponding Author:
Corresponding Author

Gloria C. Chiang

E-mail: gcc9004@med.cornell.edu

DOI: 10.25259/JCIS-26-2019 Facebook Twitter Google Linkedin

ABSTRACT


Pneumocephalus is a rare presentation of sinusitis. The purpose of this case series and literature review is to highlight the critical importance of recognizing pneumocephalus on initial brain imaging, since it may serve as the first sign of acute sinusitis with intracranial complication. Although sinusitis is a treatable condition with appropriate and timely antibiotic therapy, failure to recognize intracranial extension and delays to prompt surgical drainage could lead to a dire clinical course.
Keywords: Sinusitis, Meningitis, Pneumocephalus, Imaging

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